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Enrolment Form
Enrolment form to register for Deborah Brennan Music's Piano Safari for Young Beginners
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Email
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Your email
Parent/Caregiver Name
*
Your answer
Student's Name
*
Your answer
Student Age
*
Your answer
Contact Phone Number
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Select Course
Piano Safari
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I understand that I will have to pay a $50 registration and materials fee to secure my place in the class.
*
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Required
I have read the Terms and Conditions including the cancellation and absentee policies.
https://www.deborahbrennanmusic.com/terms-and-conditions
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Required
More About You
Have you ever had piano lessons before?
Yes
No
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If you answered yes to the above, please give details - e.g, how long did you learn for, how old were you, how recently have you had lessons etc.
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Do you have a piano or keyboard at home to practise on between classes?
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No
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Can you play or are you learning another instrument?
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What's your favourite jungle animal?
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